Individual
MR. DAMIEN JEREL HARRIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2920 WEST BROAD ST, VIRGINIA, VA 23230
(804) 988-1150
Mailing address
945 N. CENTRAL WOODMERE, VIRGINIA, VA 11598
(516) 703-6400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-228479
VA
Other
Enumeration date
01/16/2026
Last updated
03/09/2026
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